JENNIFER WAGNER INC (NPI# 1467846956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467846956 |
| Entity Type | Organization |
| Organization Name | JENNIFER WAGNER INC |
| Practice Address |
20201 Ne 21st Ave Miami FL 33179-2804 |
| Practice Telephone | 3059874443 |
| Mailing Telephone | 3059874443 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | JENNIFER WAGNER (OWNER) |
| Authorized Official Telephone | 3059874443 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101701 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20201 NE 21ST AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33179-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609980093 | Jennifer R Wagner | Physician Assistant | 20201 Ne 21st Ave, Miami, FL 33179-2804 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619531365 | Bianca Dorce | Nurse Practitioner | 20036 Ne 2nd Pl, Miami, FL 33179 | 2019-04-29 |
| 1790254027 | Linda Rachel Topel | Family Medicine | 1911 Ne 197 Terrace, North Miami Beach, FL 33179 | 2018-11-15 |
| 1427542356 | Arianne Monal | Assistant Behavior Analyst | 447 Ne 210th Circle Ter Apt 202, Miami, FL 33179 | 2018-06-14 |
| 1588152268 | Carvil's Professional Service | Case Management | 1311 Ne 210 Ter, Miami, FL 33179 | 2018-04-27 |
| 1407363997 | Martha Acosta | Behavioral Analyst | 1160 Ne 214th St, Miami, FL 33179 | 2018-01-05 |
| 1730698697 | Jacqueline Stone | Dietitian, Registered | 1895 Ne 197th Ter, Miami, FL 33179 | 2017-09-23 |
| 1912420647 | Barbara Ann Hunter | Social Worker | 20170 Ne 3 Court Unit 1, Miami, FL 33179 | 2017-07-25 |
| 1356875660 | Germanie Marlene Casanova | Counselor | 1300 Ne 204 Street, Miami, FL 33179 | 2017-04-13 |
| 1164962494 | Lilliana Vazquez-rivera Md LLC | Internal Medicine | 382 Ne 191st St, #74432, Miami, FL 33179 | 2017-03-06 |
| 1437606027 | Marjorie Jadotte | Nurse Practitioner | 20826 San Simeon Way Unit 51 L, North Miami Beach, FL 33179 | 2016-09-01 |
| Find all providers in zip 33179 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721552 | Carlos G Torres Dugarte | Physician Assistant | 9521 Fontainebleau Blvd Apt 424, Miami, FL 33172-6829 | 2018-08-25 |
| 1639672967 | Roberto Rodriguez Milanes | Physician Assistant | 1629 Nw 14th St Apt 911, Miami, FL 33125-2673 | 2018-03-13 |
| 1003316118 | Clelia Isabel Soto De Cayama | Physician Assistant | 7310 Sw 132nd Ave, Miami, FL 33183-3468 | 2018-02-15 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1174055156 | Jarvis Viza | Physician Assistant | 20121 Sw 117th Ave, Miami, FL 33177 | 2017-03-30 |
| 1942658182 | Acosta Arnp, Pa. | Physician Assistant | 7800 Sw 87th Ave Ste A320, Miami, FL 33173-3570 | 2016-05-27 |
| 1417311622 | Ivan Lavandera Rodriguez | Physician Assistant | 7071 Sw 129th Ave, Apt 8, Miami, FL 33183-5299 | 2016-04-13 |
| 1215393848 | Andres Vence Nunez | Physician Assistant | 9040 Sw 125th Ave, Apt D 208, Miami, FL 33186-7103 | 2016-01-12 |
| 1710385430 | Guillermo Lazaro Garcia | Physician Assistant | 13958 Sw 160th Ter, Miami, FL 33177-1906 | 2014-12-11 |
| 1033547856 | Francisco A Perez-loreto | Physician Assistant | 11912 Sw 126th Ln, Miami, FL 33186-5196 | 2013-10-15 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on JENNIFER WAGNER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.